HomeMy WebLinkAbout01-25-79
,
1978
R(C-l03 (3-73)
INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
COUNTY OF Cumberland
This return must be completed in detail and filed in duplicate, with the Register of Wills in the County where the decedent resided within nine
months after date of death, unless an extension is granted by the Secretary of Revenue.
Will" .'~ _, '\ _ t..f..(d
~. No~' ", . 19_ I,
Laura T. Straub
(NAME)
of 2029 Arlington St., Camp Hill
(ADDRESS)
~
being duly sworn according to law, deposes and says thaShe is the
Executrix
(EXEC., ADM., LEGATEE, ETC.)
B9li~)~~~RO~tH, <ci~~~WN~Hil~) 1
Conrad G. Straub
of the estate of
late of
August 9, 1978
(DATE)
deceased, and that the whole of the estate of said decedent, who died on .
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
no Pennsylvania Transfer Inheritance Tax is due.
ct:~<~~~ r~~
(SIGNATURE)
Sworn and ~bscribed before me
the~ day crf~jger 19 78_
j-/~L Rcc.. >,) /17 Cj~A.dL...._
Executrix
( TITLE)
R~~'Es~IMW~~: McC uslin, Notary pubrlt'
P rope rty ,~iGtrlynislion Expires July I, 19110
He Id d:MWfli1f. PA Cumberland COIlIItf
Transllirs
Deportment
Va luation
CAUTION
(Do not write
in this space)
Estimated
Market
Value
ASSETS
(Allach additional sheets if necessary)
Description of Asset
Personalty
3 proof sets of coins (1959, 1960 & 1961)
at $6, as valued by telephone by
Commercial Coin Co.
CCNB Bank, N.A. CiA 877-256-81'
Harris Savings Asso. SIA 4-47426-
Def. Activities Fed. Credit Un. AIC 963-6
1978 Gadabout Moped (Wrecked)
1969 \7W sedan
1976 Holiday Rambler Camper-Trailer
l8.0Q/
'~18. 73
',' 66.4~
1,375.64
200.00
500.00
4,000.00
18.00
348.62
65164
,375.G4
200.00
500.00
4,000.00
r(.' '\
6,478.J3/
TOTALS
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and p.ersonal property as reported in the forloin~ sche. dule.!!Lthe values se.:.!orth opposite each item in
the last column to the fight. .....Q ..A' t- \........-iL.,. '--..:?\.....::.)
Dated: (-~ !f-7'? (INHERITANCE TAX ;(~RAISER)
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount Approved
by Register
Name of Payee
Family exemption
Funeral expenses
2,000.00
1,760.00
Laura T. Straub
Neumeyer Funeral Home
Def. Activities Fed.
Credit Union
Register of wills
Holy Spirit Hospital
FHN Associates, Inc.
R. W. Fideler, M.D.
Laura T. Straub
Arnold, Slike & Bayley
2,000.00
1,760.00
2,194.98
40.00
1,071.20
270.00
1,950.00
324.00
324.00
Balance due on car loan
Probate costs and filing fees
Hospital bill
Anesthesiology bill
Neurosurgery bill
Executrix commission
Attorneys' fees
2,194.98
40.00
1,071.20
270.00
1,950.00
324.00
324.00
TOTALS
9,934.18 $9,934.18
REPORT OF THE REGISTER OF WILLS
1, the undersigned duly elected Register of Wills in and for the above County, do respectfully report that 1 have allowed
deductions in the amounts set forth in the above schedule as claimed, except where I have set forth a greater or lesser amount
in the last column to e right, which greater or lesser amount represents the sum allowed as a deduction.
.:? ~- 1~'')7 ('~-;Ctil ~( f_, Q~/\t.}l"1
Date of Approval:
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